ISBAR Clinical Handover for Mental Health Patient | HLTH 1037

Running head: MENTAL HEALTH NURSING
Name of the student:
Name of the university:
Author note

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MENTAL HEALTH NURSING
HLTH 1037 – Mental Health OSCA Assessment 2
Complete the following ISBAR clinical handover as if you were the
Registered Nurse handing this client over to the next shift
ISBAR Clinical Handover
Identify the client:
I am (enter your name) a registered nurse of a mental health ward who was handling the client over to the
next shift. I was handling, Mr. John, 45 years old man who came to the hospital due to mental health
condition. He had been suffering from depression according to DSM V criteria. He was involved in effective
communication to gather medical history and his concern.
Situation:
 He was admitted to the hospital due to mood disorder such as major depressive disorder.
 He was experiencing poor sleep or lack of sleep at night and he has habit of eating food at night.
Separation from wife and daughter might be the contributing factor behind his depression.
 The stressors in this case include separation from wife, alcohol consumption, loneliness and social
withdrawal.
 He lacked the motivation to do most of the work and while working, him mostly sitting around.
 He recently exhibited the feeling of agitation.
 He exhibited a feeling of worthlessness while lying in the bed at night and poor concentration (while
watching tv). He stated that he was experiencing negative thoughts while driving and become abusive
while driving. He tends to exhibit anxiety, violence towards people in the supermarket.
 Duration of the symptoms is the last three month
 Under the mental health act 2017, he is suffering from a major depressive disorder and he would be
provided with voluntary admission along with standard care (UN principle 15)
(Www.humanrights.gov.au 2019).
Background:
· The patient was admitted to the hospital 24 hours ago. The patient was admitted to the hospital
due to the depressive disorder which becomes worse in the last three months.
· He had two daughters and he was separated from his wife with whom he was married for
3years and currently have good relationship with his mother.
· He had a habit of drinking alcohol, after work. He had poor and irregular diet which affected his
wellbeing

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MENTAL HEALTH NURSING
· He had a history of hypertension and he was administrated with medication for managing his
blood pressure every morning · He had no history of hallucination and delusions. However, he was
feeling lonely and exhibited social withdrawal.
· He was also administrated with medication for feeling well which was prescribed by the
physicians.
· His primary carer is his mothers
Assessment:
· The patient exhibited agitation, social exclusion, unhealthy eating habits at night, negative thoughts
associated with violence, lack of adequate sleep and lack of motivation. From the summary of the current
condition of the patient, it can be said that the patient was suffering from the major depressive disorder
which requires immediate attention. According to DSMV criteria, he is exhibiting all signs of the major
depressive disorder where patients usually exhibit lack of sleep, poor concentration, and lack of motivation,
fatigue, and agitation.
· He usually feels that it is not worth living, indicating he might have suicidal ideation.
· While he has no signs of self-harm, his negative thoughts while driving such as violence and aggression
towards the people of the supermarket may pose a risk of harm or injury on others.
· His vital signs are required to assess for monitoring hypertension. Alcohol consumption frequency is
required to assess and his symptoms of social withdrawal is required to assess.
· He was administrated with some medication for improvement of the symptoms to which he failed to adhere.
The education is required for adherence.
·
Recommendations:
· Considering his current condition, the mini-mental state examination is required to conduct for assessment
of his thoughts, coping skills and cognitive abilities
· The short term plan is to improve his sleep with the help of relaxation technique and antidepressant for
improving her other symptoms within 1 week. His unhealthy food habits can be improved by incorporating
fruits and vegetables in it.